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HomeMy WebLinkAbout030-2091-30-000 C O C) O a O °6-J, o~ N O M > h « ~ O C y N H o m a c vmw.•- .N. N N wi y t6 N a E 31 Ct ERNE A M N N m ME Mm C (0 N L N N'C N N C It 3 y 15 O L S cc Zt N C O . N :3 4) 3 N d L N 3 Z' F o o f 3 6 N C Z N LL C -.0 O Qj N O -O 11 uo c j a) (D 3 Cl y L TS O N m ` Q LL C J ~ f0 3 Cl) y Z y rn Z E O Z `m m ° w a m CO F- cn C O O Z : p a0i Z ~ I 2 ~ m F- rn z C E 2 'O M N Cl) N d 7 ~ N N ^1 ~ N N or a d L L O c c O O w z F- z o N E z c '0 ~i 3 ~i O E N U) l0 tN W CD O. =m ~G C J N ° D C a E {S~. {yam. E V V N CO M S0 O S~ a O Z •N oaaa CL 0 w X: m co O U) J U rn rn z F- N ~i y 0 0 N Y r r - O E N (b C n 6 N O 4? Q Z to co Lo M 00 ° 3 y c E -o D LO V O M W F- -co L "O N . Li CO N O O O d N w "O ° M O O c C N N O U • O co to (n 65 O Z Z g cA V EL is d • C, a m .2 m r`Iy E o c c °3 0 (L A t Parcel 030-2091-30-000 02/1012005 11:21 AM PAGE 1 OF 1 Alt. Parcel M 26.30.19.764 030 - TOWN OF SAINT JOSEPH Current X, ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * GRABANSKI, JON A & CARLA M JON A & CARLA M GRABANSKI 1385 AWATUKEE TR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1385 AWATUKEE TR SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.000 Plat: 0078-BASS LAKE SOUTH SEC 26 T30N R1 9W LOT 3 BASS LAKE SOUTH 3 Block/Condo Bldg: LOT 3 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 26-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 06/06/2000 624324 1516/554 WD 07/23/1997 1093/295 WD 07/23/1997 1043/241 WD 2004 SUMMARY Bill Fair Market Value: Assessed with: 6471 215,200 Valuations: Last Changed: 07/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 60,200 151,500 211,700 NO Totals for 2004: General Property 3.000 60,200 151,500 211,700 Woodland 0.000 0 0 Totals for 2003: General Property 3.000 46,100 116,800 162,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 146 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 SENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION AND PERCOLATION TESTS (115) MADISOP.O. BOX 7969 N W1 53707 .jMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/Il{~fY: LOT NO.:BLK. NO.: SUBDIVISION NAME: SE 1/ W1/ 26 Ao N/R 19E~~r)W St. Joseph 3 n/a Bass Lake South COUNTY: R'SKBA~y ~E: MAILING ADDRESS: St. Croix Richard Stout 1353 Awatukee Trl, Tludson, Wi. 54016 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DESCRIPTIONS: rERCOLATION TESTS: IOnesidence 3 n/a Mew ❑Replace 4-23-92 n/a RATING: S= Site suitable for system U= Site unsuitable for system. CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) EIS ❑U QS ❑U ®S ❑U ❑ S RU ❑ S EU conventional If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: class 1 Floodplain, indicate Floodplain elevation: n/a deciaml' PROFILE DESCRIPTIONS page 42 AOB BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHXk ELEVATION OBSERVED EST. HIGHEST- TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 1 7.67 105.95 none >7.67 •75, 10yr4/2, 1., 1.42, 10yr4/4, sil., .75, 7.5yr /4, _l.s., 4.75, 7.5yr4/6, co.s. B_ 2 7.17 105.58 none >7,17 •75, 10yr4/2, 1., 1.25, 10yr4/4, sil., .67, 7.5yr 4 1 s. 4.50 7.5 r4 6 co.s. 3 7.25 105.75 none >7.25 .83, 10yr4/2, 1., 1.42, 10yr4/4, sil., 1.00, 7.5- B- r4/4 l.s. 4.00 1 r5.4 co.s. B_ 4 7,00 105.50 none >7.00 1.00, 10yr4/4, 1., 1.25, 10yr4/4, sil., .83, 7.5 - 105.70 1.00, 10yr4/2, -l., 1.00, 10yr4./4, sil., 1.00,-:':x-. B- 5 6.75 none >6.75 6- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERT D2 PER PER INCH P- P- P- se design rate _T_ I P PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 102.08 C~i E t 3 ~ F~ " ! f ~ i I i I i L \\ATV _ F t` I ~.3 i f ~ n` E [ I, the undersigned, hereby certify that j1he soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gar L. Steel [I-23-Q2 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. Av.e New Richo nd Wi.54017 9_9_Q8 /9j -246-6200 CST SIGN E: I DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complet and accurate soil test, your report must include: 1. Complete ler-l : ion; 2 The use section t clearly indicate whether this is a residence or commercial project; 1 MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 0. PLEASE use tl' abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A ['':_E diagram accurately locating your test locations. Drawing to scale is preferred. A separate sl ~p used it desired; S. Make sur y n ark and vertical elevation reference point are clearly shown, and are permanent; 9. C, n e boxes as to dates, names, addresses, f food plain data, percolation test exemp- tic , 10' flood plain, elevation) does r fly, place N.A. in the appropriate box; 11. yc it current address and your certi- ation number; 7<- f d distribute as required. ALL SO" TESTS MUST BE FILED WITH THE L 3R, -Y WITHIN 30 DAPS OF COMPLETION. ABBREVIATIC. FOR CERTIFIED SOIL TESTERS ates and Textures Other Symbols s_ - Stone (over 10") BR cob - Cobble (3 - 10") SS - ne gr _ Gravel (under 3") LS L ne s f, HGW - H or- rdwater c, - Sand Pere on Hate med < i Sand W f. _.;~rnd Bldg i g Is - S = 7d > -er Than xy Loam < I Than Bn -n L-- am BI Gy - Gray let - C'.iy Loarn Y `fellow scl - ,...dy Clay Loam - Red sicl Clay Loam Mottles se S.,,Idy Clay ~rJilh sic - ,y Clay 'few, fine, fa ° y. C - y common, c : PI - - Many, medr to - Mr!ck - distinct r - prominent HW L - High water I< , Six gener~ 771 ~t~Xtures surfac vt for liquid disposal BM - Bench M,„n VRP Vertical Ref )cc Point TO THE OWNER: This sr 'I ' it report is the first sin 1 sanitary permit. The county or the Department may request verii.ca n of this soil t i . t=. 7ermit: iss-ince, A complete set of plans for the private sewage system and a p E.,)plir s =brnitted to the appropriate local authority in order to obtain a permit. The sanit y permit ! riot to the start of any construction. 9g&Tjr*parttirTmOAQh§PFH.26.30. •114 Labor and Human Relations IVATE SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT ' GENERAL INFORMATION (ATTACH TO PERMIT) sanitary Permit No-: 19 917 Permit Holder's Name: ❑ City ❑ Village IR Town of: State Plan ID No.: ST BM lev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 1 030-2091-30-000 TANK INFORMATION ELEVATION DATA A9300321 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosi ng Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction I Loss Head DH Ft Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED / TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type 0 CHAMBER Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length _ Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed/ Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: ST. JOSEPH.26.30.19 192815 Away- 6u" - R"ft.. Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: t SANITARY PERMIT APPLICATION OILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY- -Attach STATE S I MIT complete plans (to the county copy only) for the system, on paper not less than 8%x 11 inches in size. ❑ Cey~o/PEo 7#- ousapplication -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION '/a,SG~J'/4, S a, T,3Q , N, R l 9 E (or PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # ee A- CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSSM NUMBER II. TYPE OF BUILDING: (Check one) ❑ State Owned VILLLL.AGE NEAREST ROAD e l3 0{ 4OWN OE: ELT NUMBER ❑ Public Z1 or 2 Fam. Dwelling-#of bedrooms-? A 111. BUILDING USE: (If building type is public, check all that apply) ©yo a o qi r 367 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) , A) 1. EgNew 2.E] Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ® Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE ~ REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION "`/so _-5-G 5 1`2 /j I e - IFX, Y10 Feet Feet VII. TANK CAPACITY Site in allons Total of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) PRSW No.: Business Phone Number: 'll ~ wssse/Y ~v 3 r - la Plumber's Address (Street, City, State, Zip Code): i IX. OUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (include g roue Water ate Issued Issuing Ag t Sig ure (No S ps) Approved El Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 1 All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. Vill. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8'% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. i The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) ,IQ~ ~av~ S7`o w7- Adt ,C~a ~s h 4 fry Se w?`h ow.lJ O cc sT sa the - ~ h s o?D~r a 4, g y 3 SW ~lvY" ' X 948.7 . 0 AC. 7, 000 N 956,,9 O 0 X 950•, ~ N 955.8 X X 952.6 520 X 954.4 X 4 ' X 940.8 945.1 r 1 X 960 N N N X 965.3 N ~1 / 941. X .0 94 946.9 . X 959.3 X . 0t D~ C) O Ld 960 .0 A ' 520` 970 66 J (V. 983 N X 970.3 984.3 520 U X 983.8 X 974.6 X 76.3 ._.9054 0. 982.4 < X 971.0 977.1 X nnn N #LaborrasndHuma Relationsdustry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slo e, scale or P RCEL I.D. # dimensioned, north arrow, and location and distance to nearest road ` 036 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION WE D T PROPERTY OWNER: n I / Q PROPERTY L AT Ri d~~. KI(,~0 yL I GOVT. LOT 1 WT 1/4SI1T 1/4,S 26T 30 N,R for) W PROPERTY OWNER':S MAILING ADDRESS LOT # n~a # S a e South ^ 4 1353 Awatulcee Tr. CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE rxlbWN NEAREST ROAD Hudson WI. 54016 ( n/) h 132nd. Ave. -New Construction Use Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement Public or commercial describe Q &ue' Code derived daily flow 450 gpd Recommended design loading rate • 7 bed, gpd/ft2 •8 tren , gpd/ft2 Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2 . 8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 160.55 ft (as referred to site plan benchmark) Additional design / site considerations Parent material outwash Flood plain elevation, if applicable n/a It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ET! ❑ U 19S ❑ U faS ❑ U EM ❑ U ❑ S E, ❑ S TM , SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft Texture Consistence Boundary Roots Bed Trertctt in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-8 10yr4/3 none I~. 2/m/sbl, rnvfr c/s 2/f .5 .6 2 8e27 10yr4/4 none Is. 0/sg ml g/w 1/f .7 .8 Ground 3 27-80 10yr5/4 none S. 0/sg ml n/a n/a .7 .8 elev. 103.73ft. Depth to limiting factor >80 Remarks: Boring # 1 0-10 10yr4/3 none L. 2/m/sbk mvfr ,/G 2/f .5 1.6 .':<..2 2 10-24 10yr4/4 none J_s 0/sg ml g/w 1/f .7 .8 3 24-80 10yr5/4 none co. S 0/sg ml n/a n/a .7 .8 Ground elev. J, 103.76ft. Depth to limiting factor >80 _ n s d F~ Remarks: C GAS' , CST Name: Please Print Cary L. Steel 7 VIP, 46-620 Address: 1554 20 . / Ave. Ne Richmond, va. 54017 S 4, Signature: i 4-5-93 Date: 78 CST Number: PROPERTY OWNER Richard Stout SOIL DESCRIPTION REPORT t'Pagb _of , PARCEL I.D. # Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 1 0-S 10 r4/3 none s]_. 2/m/gr mvfr c/s 2/f .5 3 2 8-16 10yr4/4 none Is. 0/sg ml g/w 1/f_ .7 .8 Ground 3 16-89 10yr5/4 noen co.s. 0/sg ml n/a n/a .7 .8 elev. 103.55 ft. Depth to limiting factor >89 Remarks: Boring # 1 10-10 10yr4/3 none sl. 2 /m/sbk mvfr c/s 2/f .5 .6 .3 `4 2 110-16 10yr4/4 none sil. 1/f/sbk mfr g/w 1/f .2 3 116-80 10yr5/4 none co.s. 0/sg ml n/a /a .7 .8 Ground elev. 101.90t. Depth to limiting factor >80 Remarks: Boring # 1 10-22 10yr4/3 none L. 2/m/sbk mfr c/w 2/f .5 .6 4 5 2 122-36 10yrze/4 none sil. 1/f/sbk mfr g/w 1,/f .2 .3 3 136-80 10yr4/6 noen co. S. 0/sg ml n/a n/a .7 .8 Ground IojeV~A Depth to limiting factor >80 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) =Eli STEEL'S SOIL SERVICE t554 200th. Ave. Gary L. Steel Richard Stout C.S.T. 2298 Bass Lake South New Richmond, WI 54017 MPRSW-3254 raW%,SI % S26-T3011-R.19W (715) 246-6200 town of St. Joseph lot. !10 ,5 ke- 44-- gi-, CGO VK 0 OA 5 ~ a Parcel 030-2092-05-000 02/10/2005 09:07 AM PAGE 1OF1 Alt. Parcel 26.30.19.771 B 030 - TOWN OF SAINT JOSEPH Current X', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner " RICHARD & JANET STOUT STOUT, RICHARD & JANET 1353 AWATUKEE TR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ( ~/J SC 5432 SCH D OF SOMERSET SP 1700 WITC a7~ k.2~ CAL Legal Description: Acres: 28.310 Plat: 2341-POWER'S ADDITION SEC 26 T30N R19W LOT 2 POWER'S ADDITION Block/Condo Bldg: LOT 2 28.31 AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 26-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 2004 SUMMARY Bill M Fair Market Value: Assessed with: 6479 169,400 Valuations: Last Changed: 07/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 28.310 166,700 0 166,700 NO Totals for 2004: General Property 28.310 166,700 0 166,700 Woodland 0.000 0 0 Totals for 2003: General Property 28.310 98,100 0 98,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Yv.:~ i.,._a....:-~.. u:' b rv.~tn.✓~.. - ....rny - ._i ..n~a. s.., v ae...__.T~a.. .L., u.+... THIS INSTRLWEN! BASS LAKE IN PART OF THE SWI/4 OF THE NWI/4, IN PART OF THE NWI/4 OF THE SWI/4 AND IN PART OF GOVERNMENT ND 7, ALL IN SECTION 26, T30N, R19W, TOWN OF ST JOSEPH, ST. CROIX COUNTY, WISCONSIN. CERTIFIED SURVEY MAP_ VOL. 6, PG. 1554 LOT_ I S89'2948"E 629.83' NORTH LINE OF THE SWI/4 Of THE NWI/4 314.91 314.92 " LC 0 A P N _T_ 2 LOT I v $ W LOT 8LOT 9 c QERTIEIEp GURVEY MAP 3,33 ACRES 142pp,4S77ACSOVFT. 144,732 SOFT O 3 e yQLUME PAGE 2368 n o, A j ey M p o N 2 y CERTIFIE_ SUR\ m _ _ - - ® ;g 489° 28'48"E 295.18' - S89*28'48eE 21730' I 370.18' ~ - ~ - N89e28'48"W 304,18' d00 E z4o.oo'_ _ t4so ' 6 S$0 00odW 370.1$ . LOT 3 N LOT Ii LOT 12 3.21 ACRES 3 133 862 ~ AC30 fT. ~ 139,981 SOFT. O CERTIFIED SURVEY MAP " YgLUME 8, PAGE 2367 N eO N 2 co v h Ol rn 0 LOT 4 W 3 N 224.00• n, 250.00' ICl Q 489 3t10"W 374.61' N 41 8 °O Z Vf / if1 n Q W EAST - WEST 1/4 LINE OF SECTION 26 O O a SMALL TRACT 0 ` VOL. 1008, PG. 272 s 93900• 1S88~39'02eW 233.84' - 03'90. 385.19 LOT 10 F N$3 1~, 24eE 32.78 ACRES 39cb 11127,908 SO.FT. ~ \ U\ 01 \ \ \ 1 ~vkl PAI 0 S C/' g VOL. 8E \ 11 1 ~ 0 °o Allz- ~1 1 1 I I ' f SEE SHEET 2 + Lb1 f'~ L t s 3 cry Page of Wiscons+nDepartmentofIndustry, SOIL AND SITE Ev 6AT1ON REPORT - t..abor s*n Human Relations DivisSon of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x .11 inches in size. Plan must include, but PARCEL I.D. # not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Richard Stout GOVT. LOT M,'! 1/4 StiT 1/4,S 26T 30 N,R 1.9 )V~or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # 1353 Awatulcee Tr. W n/a Bass lake South CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE xMROWN NEAREST ROAD ad: on VTI. 5401-6 ( n/)a. P )h 132nd. Ave. xj;New Construction Use M Residential / Number of bedrooms 3 [ ) Addition to existing building [ I Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate 77 bed, gpd/ft2 ' t' trench, gpd1ft2 Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2 •8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 100 5 5 ft (as referred to site plan benchmark) Additional design / site considerations Parent material outwash Flood plain elevation, if applicable n/ a It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ETS U FTS O U RIS U ~.S U S S M SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure consistence Boundary Roots GPD/ft - in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-8 10yr4/3 none I~. 2/m/sbl: mvfr c/s 2/f .5 .6 2 8127 10yr4/4 none ls. 0/sg nil g/w 1/f .7 .8 3 27-80 10yr5/4 none S. O/ sg ml n/a n/a .7 .S Ground elev. 103.78ft. Depth to _ limiting factor >80 Remarks: Boring # 1 0-10 10yr4/3 none L. 2/m/shk mvfr /s ?./f .5 1.6 2 10-24 10yr4/4 none 1_6. 0/sg m1. p/w 1/f .7 .8 3 24-80 10yr5/4 none co. S 0/sg ml n/a n/a .7 .8 Ground elev. 103.76ft. Depth to limiting factor >80 Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address 15 51t 200th./ Ave. New Richmond, Ili. 54017 Daig CST Number: ;PROPEF5(OWNER f:tcharcf .,►-oitt SOIL DESCRIPTION REPORT Page of PARCEL I.D. # G Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots --7- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench x3 1 0- 10'r4/3 none sl.. ?./m/gr mvfr c/s 2/f_ .5 .h 0/sp m1 ¢/w 1/f .7 ::«°.:'`s` £3-1.6 10yr4/4 none 1.9. Ground 3 116-89 10yr5/4 noen co.s. 0/scy ml. n/a n/a .7 .f elev. 103.55 ft. Depth to limiting factor >89 Remarks: Boring # 1 0-10 10yr4/3 none s?... 2/m/sbl: mvfr_ c/s ?../f. .5 .6 4 #w 10-1.6 10yr4/4 none 1/f/sbk mfr /w 1/f .2 3 16-0 10yr5/1+ none co.s. 01sg ml n/a -1/a .7 .8 Ground elev. 101.90t. Depth to limiting ' factor 0 Remarks: Boring # 2/m/sbk mfr c/w ?/f .5 .6 h•: :;.;;a 1 0-21.2 10yr4 / 3 none L . .3 'S 2 22-36 10yrzr/4 none si_1. 1/f/sbk mfr ,/w 3 36-80 10yr4/6 noen co. s. 0/sr, ml n/a n/a .7 Ground l_O1evl~t. Depth to limiting factor >80 Remarks: Boring # Ground elev. ft. - Depth to limiting factor - - SBD-8330(805/92) rM STEEL'S SOIL SERVICE 554 Gary L. Steel Ri-chart;. Stout 8893q11x5hNW WIW C.S.T. 2298 Bass Fake South New Richmond, WI 54017 MPRSW-3254 526-T30Td-P1914 (715) 246-6200 town of St. Joseph lot. !10 F ~ (Co E 5 9 s M M so 30000 10 S• ~ Q 438 44 •E I \ 'I N74 4-7'29 l \ M 1\\ II LOT 4. 3.09 ACRES O 0 134,520 SQ. FT. c\l N ® O : N89o51'27"W 520.00' j I _M LOT 3 Lo 3.00 ACRES M I N N 130,722 SQ. FT U 1 N Z ~ o w ~I u U 1 ao ~I - Lo Qi O N89 51'27"W 520.00 i O 0) 0) UI 3 W w I- I t W t Q 0 LLJ o 0 3 LOT 2 0 Y 0 1 Z I w f~ U) 3.00 ACRES ~ z ~ i Z O N 130,722 SQ. FT.Q 0 N Q 1-- 0 w O 3 Z Q I 1\189 51'27"W 520.00' I 33' 33' I LOT 0 K? 3.00 ACRES • un 130,722 SQ. FT. M . to N 131.E 520.00' - - - - 66.00' I- rn in o O _ DEDICATED 132ND 51 27 W TO M N8 9"5433"w SOUTH LINE OF NWI/4 OF 3 o oO M O M 0 Z SCALE IN FEET SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ADDRESS:. FIRE NO:- LOCATION: 1/4, ~5,:*,,1 1/4, SEC.o2G T~N-R_Z!j~_W, TOWN OF:. g~ 1~GS' 2~ ST. CROIX COUNTY SUBDIVISION:e, lq'e j'de:g%7l LOT NO. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system: St. Croix County residents may be eligible to receive a grant to help with the cost of the replacement of a failing system, which was in operation prior to July 1, 1978. St Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to the St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification from will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system-in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification form must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. l SIGNED: I. DATE : ~O St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 APPLICATION FOR BAIIITARY PERMIT • 9TC-100 This application form Is to be conplntad in full and signed by the ownit(s) of the pcopacty being developed. hny Inadequacies will only result In delays of the pitmIt Issuance. -Should thle development be Intended for resale by ovner/contractor,(spec house), thcn a second form should be retained and completed vhan the property Is sold and submitted to this office with the ■ppcopclate deed recording. OYntr of property = 5' Z'7' Location of property LLaZ_114 f4l 1/1, Section T, -)1-R-ZY-V Tovnshlp -~5~~.3Y! Ka I l i n g a d d r e s s 1 Ly~ ~`c~ L►'~/e~/~_ Ad d r e s s at a l t o .-2~[~~~/~ .a~~S' ~e Y~r/~ aubdivlslon naa►e A64 -"-3 9 ~i a d3Q G~~Li Lot number Ptevlous owner of property Total $Ila of parcel Ct G'1-• -e- .y Date parcel was created A~erti of ~z Ate all corners and lot 11nsr Identifiable? Yes Nv is this property being developed for resale (spec house)?- 4K an -,_,_,,•M0 Volume 2 P- and page Number I- ,;7 as recorded with the Reglstee of Deeds. INCLUD9 WIT11 THIS APPLICATION THE FOLLOVINCI A YAAIIKXTT DVID which includes a DOCUHEHT HVH9IR, VOLV1tE AND PAGE NV}SetR, and the 9IAL or TIIE RRaI9TBR OF DRHD9. In addition, a certifled survey, if available, would be helpful so as to avoid delays of the reviewing process. It the deed description references to a Csitlfied survey Hap, the Certified Survey Hap shall also be required. ---------------------------------------------------------7--------------------- PROPERTY ONIIER CERTIFICATION I(ve) cettlty that all statements on this form are true to the best of my (our) Rnovledgej that I (we) am (are) the owner(s) of the property described In lhle In(ntmatlon form, by virtue of a warranty deed recorded In the office of the county Register of Deeds as Document Ila. j? I and that t (vel presently own the proposed site for the oewaga disposal system (or I (Vol have obtaIncd an eeeement, to run with the above deacclbed property, roc the conattuctton of ssld nyatem, and the same has been duly recorded In the Ottlce ot,the Coyn Re late of Deeds, as Document No. signature of owner Signature of Co-Ovnec (It Applicable) t. b Date o s g .ature Data of Signature